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Fri May 31
12/31 YE Clients: Cost Report Data due to ABR
Fri May 31
3/31 YE Clients: Cost Report Data due to ABR
Fri May 31 @08:00 - 05:00
12/31 YE Clients: Medicare Cost Report Due
Fri May 31 @08:00 - 05:00
10/31 YE Clients: Medicaid/OSHPD Cost Report Due (w/extension)
Fri May 31 @08:00 - 05:00
1/31 YE Clients: Medicaid/OSHPD Cost Report Due

Reporting

California Medi-Cal Provider: Optimize Your Reimbursement Rate and Control Costs

Over the past four years with the passage of AB1629, traditional methods of pinching pennies on labor cost have become a belief of the past.  Simply obtaining your Medi-Cal rate each year does not give you a complete picture of how you can increase that rate for future years.
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Home Health and Hospice Cost Analysis
We are excited to inform you of a new report, the ABR Cost Report and PS&R Analysis, we will beproviding to all of our home health and hospice clients with their cost report each year! Using your current cost report data and the PS&R you provide to us we have formulated this study to help you make better business decisions for your agency.  
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Cost Report and PS&R Analysis - EXAMPLE
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Client Name: 
Provider Number: XX-XXXX
FYE: 3/31/10 Full Episodes without Outliers Full Episodes with Outliers LUPA Episodes PEP Only Episodes SCIC Within PEP Episodes

Total
                    
NUMBER OF EPISODES             1,145                 4             207               44                 -             1,400
 % To Total 81.79% 0.29% 14.79% 3.14% 0.00%
# of Beneficiaries            1,146
PAYMENTS (REVENUE)      4,235,370        16,784        97,792        48,795                 -      4,398,741
VISITS
Skilled Nursing             7,820             157             369             225                 -             8,571
Physical Therapy             5,682               14             160             156                 -             6,012
Occupational Therapy             1,496                 8               20               35                 -             1,559
Speech Therapy                329               -                 11                 7                 -                347
Medical Social Services                499                 4               11               20                 -                534
Home Health Aide                575                 8                -                 20                 -                603
Total           16,401             191             571             463                 -           17,626
CHARGES FOR NON-ROUTINE SUPPLIES
Medical Supply           32,292          2,189          1,819             846                 -           37,146
COST OF SERVICES
Skilled Nursing      1,321,424        26,530        62,354        38,021                 -      1,448,328
Physical Therapy         748,774          1,845        21,085        20,558                 -         792,261
Occupational Therapy         199,925          1,069          2,673          4,677                 -         208,345
Speech Therapy           45,872               -            1,534             976                 -           48,382
Medical Social Services           85,853             688          1,893          3,441                 -           91,875
Home Health Aide           42,970             598                -            1,495                 -           45,062
Total      2,444,818        30,730        89,538        69,167                 -      2,634,253
NON-ROUTINE MED SUPPLIES           16,708          1,133             941             438                 -           19,219
TOTAL COST      2,461,526        31,863        90,479        69,605                 -      2,653,472
GAIN/(LOSS)      1,773,844      (15,079)          7,313       (20,810)                 -      1,745,269
REVENUE PER EPISODE        3,699.01     4,196.00        472.43     1,108.98                 -        3,141.96
COST PER EPISODE         2,149.80     7,965.63        437.09     1,581.93                 -        1,895.34
GAIN/(LOSS) PER EPISODE        1,549.21   (3,769.63)          35.33       (472.95)                 -        1,246.62
UTILIZATION PER EPISODE
Skilled Nursing               6.83          39.25            1.78            5.11                 -               6.12
Physical Therapy               4.96            3.50            0.77            3.55                 -               4.29
Occupational Therapy               1.31            2.00            0.10            0.80                 -               1.11
Speech Therapy               0.29               -              0.05            0.16                 -               0.25
Medical Social Services               0.44            1.00            0.05            0.45                 -               0.38
Home Health Aide               0.50            2.00                -              0.45                 -               0.43
Total             14.32          47.75            2.76          10.52                 -             12.59
UTILIZATION PER PATIENT
Skilled Nursing             7.48
Physical Therapy             5.25
Occupational Therapy             1.36
Speech Therapy             0.30
Medical Social Services             0.47
Home Health Aide             0.53
Total           15.38
AVERAGE EPISODES PER PATIENT             1.22